Journal article

The effects of the school environment on student health: A systematic review of multi-level studies

Chris Bonell, Will Parry, Helene Wells, Farah Jamal, Adam Fletcher, Angela Harden, James Thomas, Rona Campbell, Mark Petticrew, Simon Murphy, Margaret Whitehead, Laurence Moore

Health & Place | ELSEVIER SCI LTD | Published : 2013


Health outcomes vary between schools and it is theorised that this may be partly attributable to variation in the school environment. Existing systematic reviews have not drawn authoritative conclusions because of methodological limitations in the review or studies available. We identified 42 multi-level studies, ten of which were judged of sufficient quality to narratively synthesize. There was consistent evidence that schools with higher attainment and attendance than would be expected from student intake had lower rates of substance use. Findings on the influence of smoking/alcohol policies were mixed. Three studies examined the health effects variously associated with school campus area ..

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Awarded by National Institute for Health Research Public Health Research (NIHR PHR) Programme

Awarded by Economic and Social Research Council

Awarded by Medical Research Council

Awarded by Chief Scientist Office

Funding Acknowledgements

We would like to thank Val Hamilton, Carol Vigurs, Jeff Brunton, Sergio Graziosi, Alison O'Mara-Eves and Juan Daniel Kennedy for their contribution to the project. This project was funded by the National Institute for Health Research Public Health Research (NIHR PHR) Programme (project number 09/3002/08). Visit the PHR Programme website for more information. The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the PHR Programme, NIHR, NHS or the Department of Health.